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Insurance

Insurance is a promise of compensation for specific potential future losses in exchange for a periodic payment. Insurance is designed to protect the financial well-being of an individual, company or other entity in the case of unexpected loss. Some forms of insurance are required by law, while others are optional. Agreeing to the terms of an insurance policy creates a contract between the insured and the insurer. In exchange for payments from the insured (called premiums), the insurer agrees to pay the policy holder a sum of money upon the occurrence of a specific event. In most cases, the policy holder pays part of the loss (called the deductible), and the insurer pays the rest. Examples include car insurance, health insurance, disability insurance, life insurance, and business insurance.

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Insurance > Health insurance

health maintenance organization (HMO)

Health care; Managed care

A legal corporation that offers health insurance and medical care. HMOs typically offer a range of health care services at a fixed price (see capitation). Types of HMOs: (a) Staff ...

certificate of coverage (CC)

Health care; Managed care

A legal description of the benefits included under, and to be provided by, a health plan when a certificate of coverage is required by law.

certificate of need (CON)

Health care; Managed care

A legal description of the benefits included under, and to be provided by, a health plan when a certificate-of-coverage is required by law. A state agency must review and approve ...

insolvency

Health care; Managed care

A legal determination occurring when a managed care plan no longer has the financial reserves or other arrangements to meet its contractual obligations to patients and ...

adult

Health care; Managed care

A legal determination referring to one who has reached maturity; a person who has reached the age of legal capacity and can enter into insurance contracts.

agency agreement or contract

Health care; Managed care

A legal document containing the terms of the contract between the agent and company, signed by both parties.

group practice without walls (GPWW)

Health care; Managed care

A legal entity formed by a network of physicians who maintain their individual practices.